Igboko, Obioma J.

Igboko, Obioma J. is an individual health care provider with primary practice located at 400 East 3Rd Street Essentia Health Duluth Clinic, Duluth MN 55805. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is her primary health care specialty. Igboko, Obioma J. can be contacted via phone (218) 786-8364.

Contact Information

Primary practice address
400 East 3Rd Street Essentia Health Duluth Clinic Duluth MN 55805
Phone: (218) 786-8364
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 52245 Minnesota
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X 52245 Minnesota

Profile Details

NPI number 1104082171
LBN Legal business name Igboko, Obioma J.
Credentials MBBS
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2008
Last updated Dec 2nd, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104082171 NPPES
Wisconsin MEDICAID 1104082171
Wisconsin MEDICAID 1104082171

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